Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $295.12 / $6,606.93	Facility		$169.82	$295.12	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $363.08	Professional		$93.33	$131.83	$363.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $165.96 / $309.03 / $309.03	Professional	52	$165.96	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $338.84	Professional		$117.49	$218.78	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $338.84	Professional		$204.17	$269.15	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $288.40	Facility		$112.20	$169.82	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $331.13	Professional		$162.18	$218.78	$331.13
Moda Health Facility/Professional Professional Modifier 52 Low / Median / High Price $61.66 / $61.66 / $165.96	Professional	52	$61.66	$61.66	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $269.15	Facility		$162.18	$234.42	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $269.15	Facility		$112.20	$173.78	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $234.42 / $338.84	Professional		$91.20	$234.42	$338.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $933.25 / $1,122.02	Facility		$741.31	$933.25	$1,122.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $346.74	Professional		$190.55	$257.04	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $6,165.95	Facility		$389.05	$1,513.56	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $323.59	Professional		$141.25	$213.80	$323.59